We have established our due diligence program to support our ongoing commitment to meet applicable legal and compliance obligations, including but not limited to local anti-bribery/anti-corruption laws, the United States Foreign Corrupt Practices Act, legislation enacted in accordance with the OECD United Nations Convention Against Corruption, and in the United States, the United States Anti-kickback Statute, Stark Laws and Federal False Claims Law.

It is necessary for you to answer each question in this due diligence questionnaire (“DDQ”) completely and accurately. Please be specific and thorough in your responses. If the information does not fit in the spaces provided in this partner data sheet, please use the "Additional Information" tab.

By submitting this due diligence questionnaire (“DDQ”), you represent that you are authorized to represent the business identified on the following page (the “Company”) and on behalf of your Company represent that it has or will secure whatever legal authority or consent may be necessary for the transfer, processing and use of all personal/business data provided in this DDQ as described below.

In order to verify the information provided by your Company and to conduct background/due diligence investigations on your Company, you consent to our use of the information that you provide sharing the data with our subsidiaries, agents, representatives and third parties screening/diligence services providers throughout the world, and transferring it to countries which may not provide adequate legal protection for personal information. Regardless of the particular laws of the jurisdiction in which the information may be at any particular moment, wherever we or our subsidiaries, agents or representatives collect, use, access, transfer or store the information, we will treat it privately and securely in compliance with applicable laws.

If you agree with the above processing of your or your Company’s business and personal information, please complete and submit the following data sheet, providing only objective and verifiable information.


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